COMPLEX NEUROSURGICAL TREATMENT OF PATIENTS WITH COMBINED REFLEX AND COMPRESSION SYNDROMES OF CERVICAL OSTEOCHONDROSIS

Abstract

All 123 examined patients admitted to the Neurosurgical Clinic for cervical intervertebral disc herniation had a combination of compressive and noncompressive (reflex) syndromes. Reflex syndromes were caused by pathologic impulses originated from both herniated and nonherniated discs. Disc puncture, as a treatment-and-diagnostic procedure, followed by denervation of clinically significant intervertebral discs, was performed in order to identify the correlation between reflex syndrome and pathologic disc and to arrest this syndrome. In 60 patients who received complex treatment, i.e. disc denervation followed by surgical intervention, the results were found to be clinically better than those in 63 control patients who underwent surgical treatment without preliminary pain provocation and elimination of concomitant reflex syndromes by disc denervation.